Shannon McElhone, LMHC

Dr. Sarah Ramos, MD, has experience practicing in a variety of outpatient settings, including community mental health and military care, serving active-duty service members, their families, and veterans. She earned her medical degree from Vanderbilt School of Medicine and completed psychiatry residency training at the University of California San Diego and Thomas Jefferson University in Philadelphia.

Dr. Ramos values open communication, privacy, and a collaborative approach with her patients. She creates a warm, supportive environment where individuals feel heard, respected, and empowered to participate in their care.

In initial sessions, Dr. Ramos thoroughly assesses patients’ history, concerns, and goals to ensure care is personalized and effective. She develops comprehensive treatment plans that align with each patient’s objectives, providing ongoing support to help them achieve meaningful outcomes.

Background and credentials

Dr. Jonathan Myrtil is a board-certified adult psychiatrist. He earned his medical degree from Ross University School of Medicine and completed his residency in Adult Psychiatry at the University of Central Florida, affiliated with North Florida Regional Medical Center. After completing his training, he remained at North Florida Regional as an adult psychiatrist and supervising physician, gaining experience treating patients in inpatient, outpatient, partial hospitalization, and intensive outpatient program (IOP) settings.

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Treatment approach

Dr. Myrtil takes a collaborative approach to psychiatric care, integrating medication management with supportive therapy to provide well-rounded treatment. His primary focus is on treating adults with mood and anxiety disorders, PTSD, and ADHD. He prioritizes patient involvement in treatment decisions, ensuring that care plans align with individual needs and goals.

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What you can expect in a first visit

Patients meeting Dr. Myrtil for the first time can expect a thorough evaluation where he assesses their symptoms, treatment history, and personal goals. He fosters a supportive and collaborative environment, working closely with patients to create a personalized treatment plan that incorporates medication management and therapeutic interventions tailored to their specific needs.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Anita Green is a Licensed Mental Health Counselor who has worked directly with clients of various demographics and has a variety of mental health challenges. Anita graduated from Texas Wesleyan University in 2014 with a 3.8 GPA in Counseling. She also had the pleasure of studying abroad in Australia and China. Anita has been practicing as a LPC since 2023, focusing on substance abuse disorders and mood disorders that have a direct impact on everyday life. When working with Anita, her treatment will be tailored to the needs of the individual and their struggles. She uses foundational Interventions, including Addiction Counseling, CBT, DBT, ACT, EMDR, Empathy Active Listening, Crisis Intervention, Client Assessment, Therapeutic Boundaries, Self-Care Practices, and Multicultural Competence. Let's take this journey together.

Bobbie Anne is a Licensed Professional Counselor with over eight years of experience providing therapy and related services. She has worked in a wide range of therapeutic settings including inpatient psychiatric hospitalization, partial and intensive outpatient care, physician family practice and private practice. She works with clients affected by depression, anxiety, grief and loss, trauma and relationship challenges. She has experience with individual, group and family therapy.

Bobbie Anne is passionate about helping people discover hope, develop resilience and increase self-awareness to promote healing. She emphasizes Cognitive Behavioral Therapy and Solution Focused Therapy but integrates interventions from a variety of therapeutic approaches to allow for a treatment plan that will meet the unique needs of each specific client and help restore balance with a positive mindset for overall improved mental health and emotional wellbeing.

Bobbie Anne emphasizes an approach that is client-centered and strengths-based and promotes self-awareness. She seeks to create a warm and supportive environment where clients can establish unique and individualized goals toward healing. Bobbie Anne may utilize a range of techniques, including cognitive-behavioral strategies, solution-focused approaches, or person-centered counseling, depending on the client's individual needs.

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Virginia Hogan, PMHNP, is a dedicated psychiatric mental health nurse practitioner with experience in both inpatient and outpatient psychiatric care. She began her career in general surgery and primary care before pursuing her passion for mental health. Virginia earned a bachelor’s degree in Biology, a BSN in Nursing, and a Master of Science in Nursing from Northern Kentucky University. She is board-certified through the ANCC as a Psychiatric Mental Health Nurse Practitioner.

Virginia is deeply committed to patient-centered care, always taking into account and respecting each individual’s unique needs and experiences. She emphasizes patient strengths when setting treatment goals and fosters a supportive, empathetic environment. Patients can expect someone who listens attentively, values collaboration, and works to build a positive and mutually respectful therapeutic relationship.

During the initial session, Virginia encourages patients to share their stories in order to gain a full understanding of their history, concerns, and goals. Together, she and her patients develop individualized treatment plans that align with those goals. Follow-up appointments are designed to track progress, celebrate growth, and make thoughtful adjustments as needed.

Matthew Green is a Licensed Mental Health Counselor in the state of New York with over seven years of experience in outpatient settings, both in person and virtual. He earned his master’s degree from St. Bonaventure University and began his career at Olean Counseling Center, where he also completed his internship. Licensed since 2022, Matthew brings compassion and clinical expertise to each session.

Matthew strives to create a warm, supportive, and open space where clients feel safe, heard, and respected. He believes trust is essential to meaningful therapeutic work and values open communication to set clear, collaborative goals. His approach is grounded in mutual respect and genuine connection.

In the first session, Matthew gathers a thorough history to understand the full scope of a client’s experiences and goals. He then creates an individualized treatment plan and focuses initially on coping strategies to support day-to-day functioning. As therapy progresses, the work shifts toward deeper issues and goal achievement.

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